Pain During Sex in Women

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Q: What is a Dyspareunia or painful sex?

Painful sex or intercourse pain is also termed as Dyspareunia; it sometimes causes problems in a couple's sexual relationship. The pain varies from women to women, sometimes it is superficial at the vaginal opening or sometimes the pain is deep upon penetration.

Painful sex is a common problem. It is very important to talk to your Partner and to your doctor about it, in case of any discharge, genital lesion. So the problem should be addressed as soon as it arises.

Pain During Sex in Women | Drsafehands

Q: What are the cause of painful sex?

  1. Insufficient vaginal lubrication
  2. Involuntary spasm in vaginal muscles, due to fear of being hurt
  3. Vaginal Infections like UTI(Urinary tract infections), yeast infections, herpes, Chlamydia
  4. Infection at cervix (Opening of Uterus)
  5. Fibroids in Uterus
  6. Cyst on the ovaries
  7. Pregnancy (Ectopic Pregnancy in which fertilized egg develops outside uterus).
  8. Intercourse too soon after child birth.
  9. Depression/ about physical appearance.
  10. Fear of intimacy.
  11. Avoidance
  12. Psychological stress
  13. History of sexual abuse

Q: WHat are the sign and symtoms for painful sex

Women experiences pain, it could be deep/burning/aching//throbbing, with every penetration, and lasts hours after intercourse.

  1. History of pain during sex is the first sign; your doctor will take your medical history, sexual history, surgical history of any trauma or previous child birth experiences.
  2. After taking history, pelvic examination is done, to rule out any signs of skin infection or inflammations.
  3. A visual examination or instrumentation inside vagina can also be done, in some cases.
  4. Rarely, a pelvic ultrasound is recommended for any anatomical defect.

Treatment for painful sex :

Treatment can be done, based on the cause of pain:-
  1. In case of Infections/Inflammation, medications can be prescribed.
  2. Vaginal dryness can be treated by using water based lubricants.
  3. Waiting for six weeks after childbirth.
  4. Estrogen Creams are prescribed it women is in menopause traditional phase.
  5. Oral drugs can be given to Increase Vaginal Lubricant.
  6. Certain exercises or therapies can be given for vaginal relaxation to decrease pain.
  7. Counseling or sex therapy is also very important in resolving pain both physical and mental.
  8. Change in lifestyle.
  9. It is very important to communicate to your partner.
  10. Sometimes simply by changing position helps.
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